Dr Tamir Mosharrafa, Mosharrafa Plastic Surgery

Question: There’s a lot of talk in the breast cancer community about shared – patient and doctor/surgeon – making.  What is your stance on this topic?  And how do you think that translates into women getting the best surgical outcome?

Answer: I strongly advocate shared decision making between doctor and patient. In my opinion, it is the doctor’s job to educate each patient about her reconstructive options so she can make an informed decision on her own behalf. Provided it is surgically appropriate, I will always proceed in the manner the patient is most comfortable. This helps women feel empowered and yields the best outcomes.

Question:  We know, from your work with Busted & Beautiful that you support women who choose to opt for flat reconstruction.  Why do you think so many surgeon’s disregard a women’s choice for this and leave women with large amounts of skin on their chest?  Do you think it’s because the surgeon is just unable to achieve a beautiful flat result?
Answer: As reconstructive surgeons, we all have a bias toward providing women with a reconstruction that restores the breast(s) that were lost to cancer. However, this is an individual choice that belongs to the woman. As for the excess skin, depending on her anatomy, it can be a challenge to give a woman a perfectly flat chest without significant scarring that can be visible in clothing.
Question: How does your office represent this option to women when they come in for a consult prior to mastectomy?  Do you have literature about it?  Pictures to show them?

Answer: We discuss the option of living flat chested with every patient. I do not  have any literature on it, but I will show photos to patients considering this option. I would add, that the vast majority of patients who make an appointment with a plastic surgeon following a diagnosis of breast cancer are interested in breast reconstruction.

Contact Information

 Dr. Tamir Mosharrafa M.D., P.C.

4711 East Shea Blvd. Phoenix, AZ  85028

​ (602) 277-7860


Dr Steven Pisano PRMA Plastic Surgery

Question:  I’d like to start at the beginning, when a woman is newly diagnosed with breast cancer it can be so mentally draining and everything is going so fast. Could you offer some advice for the patient so she can put together a plan and a team of doctors she can be confident in?

Answer:  You have time. You have time to get information. You have time to learn what your treatment options are – both therapeutic and reconstructive. You have time to digest the information. You have time to find physicians that are right for you.

Question:  I’d like to start at the beginning, when a woman is newly diagnosed with breast cancer it can be so mentally draining and everything is going so fast. Could you offer some advice for the patient so she can put together a plan and a team of doctors she can be confident in?

Answer:  One of the most important things I have learned in my  9 years of residency training and 21 years of private practice is that, in general, physicians do a tremendous disservice to women with breast cancer by rushing them into treatment. For most women with breast cancer the treatment plan should be “emergent”, but not an “emergency”.

In my experience this rush to treatment accounts for a significant portion of the mental drain of the diagnosis. While it’s not as bad as when I was in my residency I see this rush to treatment on a weekly basis.

Contact Information

Steven Pisano, MD | PRMA Plastic Surgery

9635 Huebner Rd, San Antonio, TX 78240
Phone:(210) 692-1181